scholarly journals Endovascular repair of a Kommerell's diverticulum in a patient with a left-sided aortic arch and right-sided descending thoracic aorta

2009 ◽  
Vol 49 (6) ◽  
pp. 1577-1579 ◽  
Author(s):  
Paul J. Riesenman ◽  
Chase L. Campbell ◽  
Mark A. Farber
Keyword(s):  
Aortic Arch ◽  
Thoracic Aorta ◽  
Endovascular Repair ◽  
Descending Thoracic Aorta ◽  
Kommerell’S Diverticulum

Penetrated Descending Thoracic Aorta After Blunt Chest Trauma: Successful Endovascular Repair

2009 ◽  
Vol 66 (3) ◽  
pp. E36-E38 ◽  
Author(s):  
Ian F. Faneyte ◽  
J Carel Goslings ◽  
Krijn P. van Lienden ◽  
Mirza M. Idu
Keyword(s):  
Thoracic Aorta ◽  
Endovascular Repair ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Descending Thoracic Aorta

scholarly journals Treating the patient with acute rupture of penetrating atherosclerotic ulcer of the thoracic aorta

2015 ◽  
Vol 96 (3) ◽  
pp. 377-380
Author(s):  
I R Yagafarov ◽  
R R Sayfullin ◽  
M M Iskhakov ◽  
N V Gazizov ◽  
M G Khatypov ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Thoracic Aorta ◽  
Spontaneous Rupture ◽  
Open Surgery ◽  
Intraoperative Complications ◽  
Long Term Results ◽  
Safe Procedure ◽  
Descending Thoracic Aorta ◽  
Prosthetic Repair ◽  
Penetrating Atherosclerotic Ulcer

Spontaneous rupture of the aorta - a violation of the integrity of the aortic wall which is not caused by an aneurysm, trauma, dissection or disintegrating tumor process, and is an acute life-threatening condition. According to some authors, the main cause of spontaneous rupture of the aorta is a penetrating atherosclerotic ulcer of the aorta, which is an ulceration of aortic atherosclerotic plaque leading to penetration of the internal elastic plate in media. We present a case of successful hybrid surgical treatment of patient with spontaneous rupture of the descending thoracic aorta with the formation of para-aortic hematoma and left-sided hemothorax. The patient underwent a hybrid operation - aortic arch and descending thoracic aorta prosthetic repair, subclavian bypass with left subclavian artery ligation, left-sided thoracotomy, and pleural cavity sanitation. No intraoperative complications were observed, the patient was taken off the ventilator on day 2. The control computed tomography performed on day 10, revealed correct and stable stent graft position with no signs of continued bleeding, endoleak. The patient was discharged in satisfactory condition on day 14. Due to the high hospital mortality of open surgery on the thoracic aorta in case of penetrating atherosclerotic ulcers, as well as the predominance of elderly patients with severe comorbidities that contraindicate open surgery using cardiopulmonary bypass, endovascular and hybrid technologies, which are minimally invasive and traumatic, come to the fore. Endovascular prosthetic repair in case of penetrating atherosclerotic ulcer of aortic arch and descending thoracic aorta is an effective and safe procedure in patients at high risk, showing encouraging long-term results.

scholarly journals Endovascular Repair for Retrograde Type A Intramural Haematoma with Intimal Tear in the Descending Thoracic Aorta

2020 ◽  
Vol 60 (3) ◽  
pp. 386-393 ◽  
Author(s):  
Okano Ryoi ◽  
Chia-Hsun Lin ◽  
Jian-Ming Chen ◽  
Yung-Kun Hsieh ◽  
Shoei-Shen Wang ◽  
...  
Keyword(s):  
Thoracic Aorta ◽  
Endovascular Repair ◽  
Type A ◽  
Intramural Haematoma ◽  
Descending Thoracic Aorta ◽  
Intimal Tear

Can the Left Subclavian Artery be Safely Covered during Endovascular Repair of the Descending Thoracic Aorta?

2008 ◽  
Vol 3 (3) ◽  
pp. 147-150 ◽  
Author(s):  
Ourania Preventza ◽  
Grayson H. Wheatley ◽  
James Williams ◽  
Hannan Chaugle ◽  
Kakra Hughes ◽  
...  
Keyword(s):  
Thoracic Aorta ◽  
Subclavian Artery ◽  
Endovascular Repair ◽  
Left Subclavian Artery ◽  
Left Internal Mammary Artery ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Descending Thoracic Aorta ◽  
Complete Coverage ◽  
Internal Mammary

Objective Routine preoperative carotid-subclavian bypass or transposition is frequently recommended in patients undergoing endovascular repair of the descending thoracic aorta (DTA). We reviewed our comprehensive thoracic endografting experience with regards to coverage of the left subclavian artery (LSA) to assess whether mandatory preoperative carotid-subclavian bypass or transposition is necessary. Methods Between February 2000 and November 2005, 255 patients were successfully treated with an endoluminal graft (ELG) to the DTA. Indications for intervention included atherosclerotic aneurysms (109/255, 42.7%), acute and chronic dissections (75/255, 29.4%), miscellaneous (41/255, 16.1%), and penetrating aortic ulcers (30/255, 11.8%). There were 151 males (151/255, 59.2%) and 104 females (104/255, 40.8%) with a mean age of 71 years (range, 23–91 years). Results The LSA was completely covered with an ELG in 71 patients (71/255, 27.8%) and partially covered in 47 patients (47/255, 18.4%). In patients who had complete coverage of the LSA, 30 patients (30/71, 42.3%) had acute or chronic Type B dissections, 26 patients (26/71, 36.6%) had aneurysms, 11 patients (11/71, 15.5%) had miscellaneous aortic pathologies, and 4 patients (4/71, 5.6%) had pseudoaneurysms associated with prior coarctation repair. Fifteen patients (15/255, 5.9%) underwent preoperative carotid-subclavian bypass or transposition and subsequently underwent complete coverage of the LSA with an ELG. One patient (1/56, 1.8%) with complete coverage of the LSA required elective postoperative carotid-subclavian bypass secondary to left arm claudication. Conclusions Routine preoperative carotid-subclavian bypass is not necessary, except in select patients with a patent left internal mammary artery to the left anterior descending artery bypass graft or contralateral vertebral artery disease.

Quantifying Dynamics of the Ascending Thoracic Aorta in Patients With and Without Aneurysms Using 4D-CT

2008 ◽  
Author(s):  
Polina A. Segalova ◽  
Tina M. Morrison ◽  
Charles A. Taylor
Keyword(s):  
Endovascular Treatment ◽  
Thoracic Aorta ◽  
Dynamic Characteristics ◽  
Endovascular Repair ◽  
Recovery Time ◽  
Mortality Rates ◽  
Lower Mortality ◽  
Descending Thoracic Aorta ◽  
4D Ct ◽  
Challenging Environment

Endovascular repair of the thoracic aorta is becoming the preferred treatment for aneurysms due to lower mortality rates and shorter recovery time in the ICU [1]. The success of endovascular treatment greatly depends on the anatomy and dynamic characteristics of the aneurismal region, with the descending thoracic aorta (DTA) presenting a less challenging environment than the ascending thoracic aorta (ATA). As such, devices and methods for endovascular treatment of the ATA remain to be developed. In fact, there is currently no FDA-approved implantable device to treat aneurysms in the ATA.

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